Relative Risk Factors And Prognosis Analysis Of Lower-limb DVT In Neurology Intensive Care Unite

Objective: To make clinicins understand the DVT comprehensively byobserving and analyzing the incidence、clinical feathers、risk factors of criticalpatients with deep venous thrombosis in IN-ICU of our hospital，and duringworking do early prevention, early diagnosis, early treatment, to avoid theoccurrence of adverse consequences.Methods: Observed patients were elected in Inter-neurology IntensiveCare Unite of the First Hospital of Jilin University from June1st，2013toNovember1st. Divided the standard ones into thrombosis and non-thrombosisgroup according to the venous thrombosis which were examinated bytwo-dimensional and color doppler ultrasound instrument on the fifth day,tenth day and fifteenth day individually. Compared the discrepancies whichincluded the basic situations which were age,sex,history,the worst APCHE-IIscores and so on at the time of being admitted to hospital,changes ofhospitalization,treatments in the two groups.Statistical analysis was conductedby SPSS for Windows Ver.19.0statistical software. Count data were comparedby chi-square test. Measurement data were expressed by x_±s and t test.Multivariable analysis were described by logistic regression analysis and thenby stepwise regression analysis.Measurement data which were non-normal distribution were writed by the rank-sum test,P <0.05was statisticallysignificant.Results: Between the data of DVT group and non-DVT group,thediscrepancies of histories of diabetes mellitus and drinking,the statistical dataof APCHE-II scores,the count of leukocyte,platelet relative volume and thehyper-standard of blood fat and homocysteine(Hcy) weresignificant(P<0.05),Especially the APCHE-II scores were positivecorrelation,the higher the APCHE-II score was,the greater the incidence ofDVT was. During in hospitalization the differences of statistical scores whichincluded infections,hypo-albuminemia,hypotension,the treatments ofhypothermia, calm medicine, endotracheal intubation, nalmefene medicinewere meaningful.Nevertheless,the comparations of the age,gender,histories ofhypertension and smoking,the count of neutrophilic granulocytepercentage,lymphocyte absolute value,hemoglobin content,erythrocyte relativevolume，platelet relative volume，the applications of dehydration medicine anddeep venipuncture were not.the contrastitions of the prognosis between thetwo groups was remarkable.Conclusion: DVT is relevant with histories of diabetes mellitus anddrinking,platelet relative volume,the hyper-standard of blood fat,Hcy and theAPCHE-II score and during in hospitalization DVT may be caused by theinfections,hypo-albuminemia,treatments of hypothermia, calming medicine,endotracheal intubation.The APCHE-II scores were positive correlation,the the higher the APCHE-II score was，the more probable incidence of DVT was.The use of nalmefene medicine would reduce the occurrence rate of DVT.Almost DVT of neurological critically ill patients would have happened in fiveday since sicked. The prognosis of non-DVT group was better than DVT one.